12.1.08
Approved by University Studies Sub-Committee February 4, 2009
Approved by Faculty Senate February 23, 2009
Course Number: Nursing 353
Course Title: Professional Practice II
Credit Hours: 5 SH (2 theory/3 practicum)
Prerequisites: N343 Professional Practice I
Course Description: Focus will be on continued development of content knowledge, critical thinking,
clinical reasoning, and clinical judgment skills. Emphasis will be on effective communication skills and
application of therapeutic interventions that address the needs of a diverse adult patient population in
acute care settings.
*This is an Writing flag course for University Studies Program.
The course promotes students' abilities to...
a. Practice the processes and procedures for creating and completing successful writing in
their fields
The students have received instruction in the nursing process in the previous semester.
This course and these assignments will provide them with further opportunity to enhance
their ability to communicate inter-professionally incorporating a greater knowledge base
and integrating multiple sources of data into their plan of care. These assignments will
allow for faculty feedback to the student and the opportunity to remediate their paper.
b. Understand the main features and uses of writing in their fields
The student will be provided with feedback from their faculty member that will help to
improve their writing skills.
c. Adapt their writing to the general expectations of readers in their fields
The student will continue to use informatics to electronically document care given to the
client. It is part of the baccalaureate prepared nurses’ professional role to clearly
communicate in writing specific practice standards, policies, and procedures in their
agencies and units using professional language and proper writing and spelling.
d. Make use of the technologies commonly used for research and writing in their fields
Students use the full range of print and electronic resources: textbooks, case studies,
1
12.1.08
reviews of literature, research critiques, controlled trials, evidence-based clinical practice
guidelines, meta-analyses, systematic reviews, and clinical opinion essays through
electronic data search strategies (e.g. CINAHL, PubMed). These resources provide the
information to assist in creating a complete plan of care for the patient.
e. Learn the conventions of evidence, format, usage, and documentation in their fields.
The student learns how to synthesize the information gathered from the patient as well as
integrate the knowledge gathered from the use of electronic resources in creating the plan
of care for each patient. Implementing this plan of care will allow the student to evaluate
the care provided and revise the plan of care. The student will also document the cares
provided to the patient in a professional manner.
Course Name: N353 Professional Practice II
Writing Flag
University Studies Outcomes
a. Practice the processes and
procedures for creating and
completing successful writing in
their fields.
Student Learning Outcomes
Use skills of inquiry, analysis,
and information literacy to
address practice issues
Promote factors that create a
culture of safety and caring.
Assignments
Nursing Process:
Care planning and
content mapping. (a
minimum of three papers
with faculty feedback and
an opportunity for
remediation.)
Percentage
25%
Protect patient privacy and
confidentiality of patient records
and other privileged
communications.
b. Understand the main features
and uses of writing in their fields.
Engages in reflection about
personal beliefs and values as
they relate to professional
practice
Reflection paper and/or
journal writing
Revise the plan of care based on
an ongoing evaluation of patient
outcomes
Nursing Process:
Care planning and
content mapping. (a
minimum of three papers
with faculty feedback and
an opportunity for
remediation.)
Facilitate patient-centered
transitions of care, including
discharge planning and ensuring
the caregiver’s knowledge of care
10%
2
12.1.08
requirements to promote safe
care.
c. Adapt their writing to the
general expectations of readers in
their fields.
Communicate effectively with all
members of the healthcare team,
including the patient and patient’s
support network.
Provide appropriate health
information that reflects
developmental stage, age, culture,
spirituality, patient preferences,
and health literacy considerations
to foster patient engagement in
their care.
d. Make use of the technologies
commonly used for research and
writing in their fields.
e. Learn the conventions of
evidence, format, usage, and
documentation in their fields.
Nursing Process:
Care planning and
content mapping. (a
minimum of three papers
with faculty feedback and
an opportunity for
remediation.)
Electronic charting –
documentation in patient
healthcare record
Use telecommunication
technologies to assist in effective
communication.
Electronic charting –
documentation in patient
healthcare record
Demonstrate skills in using
patient care technologies,
information systems, and
communication devices that
support safe nursing practice
Use of electronic database
to increase student
knowledge base and for
development of patient
interventions.
Understand the use of computer
information systems to document
interventions related to achieving
nurse sensitive outcomes
Electronic charting –
documentation in patient
healthcare record
10%
Student Learning Outcomes:
The Student Will:
1. Use skills of inquiry, analysis, and information literacy to address practice issues
2. Integrate the knowledge and methods of a variety of disciplines to inform decision making
3. Engages in reflection about personal beliefs and values as they relate to professional practice
4. Deliver compassionate, patient-centered, evidence-based care that respects patient and family
preferences.
5. Communicate effectively with all members of the healthcare team, including the patient and
patient’s support network.
6. Use telecommunication technologies to assist in effective communication.
7. Demonstrate skills in using patient care technologies, information systems, and communication
devices that support safe nursing practice
8. Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that
impact one’s ability to provide care
9.
Apply patient care
technologies as appropriate to address the needs of a diverse patient population.
10.
Promote factors that create a
culture of safety and caring.
3
12.1.08
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Provide nursing care based on
evidence that contributes to safe and high quality patient outcomes within healthcare microsystems.
Understand the use of
computer information systems to document interventions related to achieving nurse sensitive
outcomes
Apply patient care
technologies as appropriate to address the needs of a diverse patient population.
Manage care to maximize
health, independence, and quality of life for individuals that approximates a Term 2 nursing
student.
Implement evidence-based
nursing interventions as appropriate for managing the acute and chronic care of patients and
promoting health across the lifespan.
Revise the plan of care on an
ongoing evaluation of patient outcomes
Engage in caring and healing
techniques that promote a therapeutic nurse/patient relationship.
Assume accountability for
personal and professional behaviors.
Protect patient privacy and
confidentiality of patient records and other privileged communications.
Provide appropriate health
information that reflects developmental stage, age, culture, spirituality, patient preferences,
and health literacy considerations to foster patient engagement in their care.
Facilitate patient-centered
transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care
requirements to promote safe care.
Demonstrate basic
knowledge of health care systems.
Participate in quality and
patient safety initiatives, recognizing that these are complex systems issues, which involve
individuals and other members of the health care team.
Learning Strategies: discussion, group activities/discussions, written assignments, case presentation,
simulation, clinical practicum, presentations, exams, quizzes
Standards for Evaluation of learning outcomes:
Course expectations/requirements
1. Attend class and lab/practicum and notify the professor of absences
2. Participate in class discussions and activities
3. Complete assignments on time
4. Prepare for each lab/practicum as directed.
5. Perform all Minnesota Board Abilities as specified.
6. Must complete all assignments and lab/practicum activities in order to successfully
complete this course.
4
12.1.08
7. Failure to maintain an average of C or better on the written and/or verbal
assignments, and examinations and failure to pass the lab/practicum performance
evaluation will result in failure of the course.
8. Testing:
a. Provide own SCANTRON forms (Form no. 882-E) for examinations as
needed.
b. If testing online bring Ethernet cord, plug in, and turn off instant messaging
and all other internet options (email, evolve, etc.) as well as PDAs and cell
phones.
c. Leave electronic devices (cell phone, computers, PDAs etc.) out of the
classroom or your immediate seating space on examination days.
9. Must receive approval of faculty prior to taping of class sessions
10. Respect your peers and turn off cell phones during class time.
11. Respect your own learning needs and those of your peers and avoid playing games
or use instant messaging on the computer during class
12. Maintain academic integrity: See WSU Undergraduate Student Handbook
http://www.winona.edu/nursing/undergraduate/5909.asp
13. Abide by all University academic policies and procedures. That includes academic
integrity policies. Failure to do so may result in failure of the course and/or dismissal
from an academic program. www.winona.edu/studentaffairs/conduct_policy.htm
14. Follow UNIVERSITY POLICY ON DISABILITY ACCOMMODATIONS In accordance with
Section 504 of the federal Rehabilitation Act of 1973 and the Americans with
Disabilities Act of 1990, Winona State University endeavors to make reasonable
adjustments in its policies, practices, services and facilities to ensure equal
opportunity for qualified persons with disabilities to participate in all educational
programs and activities. The student requiring special accommodation or auxiliary
aids must make application for such assistance through Disability Services and is
responsible for communicating such accommodations to faculty.
Evaluation of Learning
1. Exams and quizzes
2. Critical thinking and other assignments
3. Practicum performance with hospitalized adults
4. Clinical conferencing
5. Clinical testing/assignments
6. Self-reflection and evaluation
Grading scale: 92-100% = A
83-91 % = B
74-82 % = C
65-73 % = D
Resources
Black, J. M. & Hokanson-Hawks, J. (2009). Medical-surgical nursing: Clinical
management for positive outcomes (8th ed.). St. Louis Missouri: Saunders.
Ackley, B. J. & Ladwig, G. B. (2008). Nursing diagnosis handbook: An evidencedbased guide to planning care. St. Louis Missouri: Mosby.
5
12.1.08
Wilson, B. A., Shannon, M. T., & Shields, K. M. (2009). Nurse’s drug guide 2009.
Upper Saddle River NJ: Prentice Hall.
Pagana, K. & Pagana, T. J. (2006). Mosby’s manual of diagnostic and laboratory
tests (3rd ed.). St. Louis: Missouri: Mosby
Topical Outline
1. Managing patients with ingestive disorders
a. Disorders of Esophagus (achalasia, GERDS, hiatal hernia, diverticula, esophageal cancer,
vascular disorders.
2. Managing patients with digestive disorders
a. General manifestations (pain, anorexia, N/V, bleeding, diarrhea, indigestion, flatulence)
b. Gastritis
c. Peptic Ulcer Disease, Cancer
3. Management of Patients with Intestinal disorders
a. General manifestations
b. Inflammatory disease (crohns, UC)
4. Managing patients with Musculoskeletal Disorders
a. Assessment
b. Degenerative bone disorders (OA)
c. Metabolic bone disorders (osteoporosis, paget’s, osteomalacia, gout)
d. Spinal column deformities (scoliosis, kyphosislordosis)
e. Bone infections
f. Bone tumors
g. Disorders of foot
h. Musculoskeletal disorders (MD, rhabdomyolysis)
i. Fractures
i. General
ii. Hip, pelvic
iii. Lower extremity, upper extremity
iv. Sports injuries
5. Management of Patients Cardiovascular disorders
a. Hypertension
b. Syncope
c. Peripheral artery disorders
i. Limb ischemia
ii. Amputation
iii. Acute arterial occlusion
iv. Arterial ulcers
v. Aneurysms
vi. Venous disorders (thrombophlebitis, chronic venous disorders and insufficiency,
varicose veins, venous stasis ulcers)
d. Valvular Disease
e. Cardiomyopathy
f. Infectious disorders
g. Congenital disorders
h. Coronary Heart disease
i. Practice guidelines
i. Heart failure
6
12.1.08
j.
6.
7.
8.
9.
Stable angina
i. practice guidelines
Managing patients with oxygenation/respiratory disorders
a. Upper airway disorders
i. Neoplastic disorders
ii. Infectious inflammatory and hemorrhagic disorders
1. Sinusitis, pharyngitis, epistaxis, rhinitis, laryngitis
iii. Obstructions of upper airway (laryngeal edema, paralysis, injury)
iv. Chronic airway obstruction (polyps, deviated septum)
b. Parenchymal and Pleural disorders
i. Atelectasis
ii. Infectious disorders (influenza, pneumonia, aspiration, TB, Fungal infections)
iii. Neoplastic lung disorders
iv. Occupational disorders
v. Sarcoidosis
vi. Interstitial lung disease
vii. Disorders of pleura and pleural space
viii. Disorders of diaphragm
Management of Patients with Renal Disorders
a. Nephrotoxins
b. Acquired disorders (nephrolithiasis, pyelonephritis, hydronephrosis, renal cancer,
glomerulonephritis, chronic kidney disease, renal trauma)
c. Renal vascular abnormalities
i. Renal artery disease
d. Congenital disorders
e. Chronic Kidney disease
Management of Patients with Metabolic Disorders
a. Structure and Function of Metabolic system
b. Assessment of endocrine and metabolic systems
c. Thyroid and parathyroid disorders
d. Adrenal and pituitary disorders
e. Diabetes mellitus
i. Diabetid undergoing surgery
ii. Sick patient with diabetes
iii. Chronic Complications of Diabetes
f. Exocrine pancreatic and biliary disorders
i. Cystic fibrosis
ii. Biliary tract disorders (cholelithiasis, acute/chronic cholecystitis,
choledocholithiasis/cholangitis)
Management of patients with neurologic disorders
a. Assessment
b. Cerebral disorders
i. Seizure disorders
ii. Brain tumors
iii. Infectious
iv. Headaches
c. Peripheral nervous system disorders
i. Lower back pain and disk disorders
7
12.1.08
10.
11.
12.
13.
ii. Spinal cord disorders (not trauma)
d. Degenerative neurologic disorders
i. Creutzfeldt-Jakob disease
ii. Huntington’s disease
iii. Multiple sclerosis
iv. Guillain-Barre’ syndrome
v. Myasthenia gravis
Management of Patients with Hematologic disorders
a. Disorders affecting RBCs (anemias, sickle cell, polycythemia vera, hemochromatosis)
b. Disorders of WBCs (agranulocytosis, multiple myeloma, infectious mononucleosis,
splenic rupture and hyperspenism)
Management of patients with immune disorders
a. Allergic disorders
Management of Patients with Rheumatic disorders
a. Autoimmunity (rheumatoid arthritis)
b. Connective tissue disorders (SLE, Systemic sclerosis, spondyloarthropathies,
fibromyalgia, myopathy, lyme disease)
Management of patients with AIDS
Evaluation tools: Classroom Assessment Techniques (CATs); Rubric, WSU Nursing Student Course
Evaluation tool, Faculty Evaluation of Course Tool, Practicum Site Evaluation, WSU Student Evaluation of
Clinical Instructor Effectiveness
Minnesota Board of Nursing Abilities MAP/descriptions
8